Individual
SAMANTHA JO WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1900 SOUTH AVE, LA CROSSE, WI 54601-5467
(800) 362-9567
Mailing address
2510 CASS ST, LA CROSSE, WI 54601-4313
(920) 407-2023
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16675-40
WI
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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